| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $139.46 | $325.50 | |
Aetna
| Professional | $88.51 | $90.43 | $107.98 | |
Cigna
| Facility | $193.48 | $193.48 | $193.48 | |
Cigna
| Professional | $62.25 | $91.45 | $191.41 | |
United
| Professional | $75.31 | $101.16 | $230.32 |